Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Facility		$190.55	$190.55	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $190.55 / $234.42	Professional		$141.25	$190.55	$234.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $104.71 / $288.40	Facility		$93.33	$104.71	$288.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Professional		$398.11	$398.11	$398.11
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $117.49 / $154.88	Professional		$61.66	$117.49	$154.88